Individual provider · Type 1 NPI

Jesse Brown Iv

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1356820252 Active

Practice location

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526

Fax (330) 956-5623

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X166785 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356820252

Jesse Brown Iv's National Provider Identifier is 1356820252, issued on Aug 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Aug 10, 2018.